Remote Physician ED Claims Reviewer (UM & Coding)
Vytwo
Prosper, TX
- Remote job
Vytwo seeks a Physician ED Claims Reviewer for a 12-month remote assignment. The clinician will conduct clinical review of claims and UM authorization requests to determine clinical necessity, leveraging CPT/HCPCS coding and managed care expertise. Ideal candidates hold an active US medical license with 3–5 years of emergency department medicine experience or equivalent internal medicine background, and possess strong knowledge of claims processing and medical coding. #J-18808-Ljbffr Vytwo
Vacancy posted 4 days ago
Similar jobs that could be interesting for youBased on the Remote Physician ED Claims Reviewer (UM & Coding) in Prosper, TX vacancy
- ...Role: Physician ED Claims Reviewer Duration: 12 months Required skills: Physician... ...experience in with medical coding (CPT/HCPCS) and managed care... ...clinical review of claims and UM authorization requests for clinical... ...in a fast paced environment. This is a remote position....Remote workClaims
Vytwo
Prosper, TX3 days ago - ...DRG Clinical Physician Reviewer We are seeking a highly experienced... ...team. This is a fully remote opportunity for a... ...documentation, coding accuracy, and cost containment... ...review experience (UM, DRG Validation, or clinical... ...Validation, CDI, or claims review strongly...Remote workClaims
Med Review Inc
United States4 days ago $285.23k - $332.26k
...Mso Physician Reviewer Burlingame, CA 94010 Overview Salary Range $2... ...collaborates with healthcare providers, UM team members, and case... ...process by reviewing denied claims and reconsidering medical... ...stratification and appropriate coding and documentation based on patient...ClaimsFull time$82.72k - $108.57k
...hiring an Associate, Itemized Bill Review to join our Payment Integrity... ...requiring billing and coding expertise with and continual improvement... ...solutions. You will ensure claims are paid accurately and timely... ...Work Location: This is a remote position, open to candidates who...Remote workClaimsFull timeContract workWork at officeOscar Health
Dallas, TX24 days ago- ...Physician Peer Reviewer - Multiple Specialties in Texas and/or New Mexico Overview... ...MEXICO to assist with independent review claims and appeals in any of the following specialties... ...reviews Job Type Contract Work Location RemoteRemote workClaimsContract workWork experience placementWork at office
Federal Hearings and Appeals Services LLC
Wilkes Barre, PA10 hours ago - A recognized healthcare provider is seeking a Board Certified Orthopaedic Spine Surgeon to conduct utilization reviews. This telework position allows for a flexible schedule within a standard Monday - Friday work week. Responsibilities include reviewing medical records,...Remote jobClaimsFor contractorsMonday to FridayFlexible hours
$85k - $95k
...seeking an experienced DRG Reviewer to join our Payment... ...inpatient medical records and claims to validate coding accuracy, ensure appropriate... ...independently in a fast-paced remote environment. This is a... ...review and collaborate with Physician Reviewers when appropriate....Remote workClaimsWork at officeFlexible hours- UnitedHealth Group seeks an Acute Facility ED Coder to apply ICD-10-CM and CPT codes to patient records for data retrieval, claims processing, and outcome management. You will work within the Health Information Management team and support accurate coding for ED admissions...Remote jobClaims
- ...Intercare, InterMed, George Hills, and AS&G Claims Administration, we're a people-focused,... ...Duties and Responsibilities: Codes medical bills into the company system with... ...clarify information. Forwards to Bill Review supervisor any unidentifiable unlisted procedure...Remote workClaims16 hoursFull timeShift work
Intercare Holdings Insurance Services, Inc.
Austin, TX3 days ago $85k - $90k
...Cost Outlier, and Readmission Reviews. Under the direction of the... ...reviews of inpatient claims to ensure coding accuracy and appropriate DRG... ...diagnoses. This is a fully remote position. Candidates must be... ...guides. Collaborates with physician reviewers, as needed. Ability...Remote workClaims$53.02k - $68.97k
...investments in our exceptional physicians, nurses and staff, as... ...center, satellite ED, and an expansive... ...Responsible for accurately reviewing and assigning Current Procedural... ...Common Procedure Coding System (HCPCS), and ICD... ...codes for professional claims billed by Capital...Remote workClaimsFull timeTemporary workPart timeApprenticeshipFlexible hours- ...Claims Reviewer Location: Phoenix AZ 85053 (REMOTE) Duration: 6+ Months Pay Range: $28.00/hr on W2 Shift: Mon Fri 8.00 AM 5 PM PST Job Summary... ...resolution, audit, and related functions. Applies clinical, coding, and processing knowledge to conduct review of...Remote workClaimsContract workFor subcontractorInterim roleShift work
- ...denials and zero balance reviews to aged accounts... ...motor vehicle accident claims, workers’ compensation,... ...will have a background in physician billing. PLEASE NOTE... ...ICD-10, CPT, and HCPCS coding. ~ Strong attention to... ...obligations US remote-based colleagues are not...Remote workClaimsHourly payPermanent employmentWork at office
Aspirion
Columbus, GA1 day ago - ...Overview Use your Radiology coding expertise to support accurate... ...cycle performance in a fully remote environment. Work Style: Remote... ...FTE) Schedule: Days Reviews and analyzes medical records... ...providing precise coding for claims submission. Participates in...Remote workClaimsFull time
UF Health
Jacksonville, FL10 hours ago $79.56k - $115.72k
...and much more. The Supervisor, Medicaid Claims Review is responsible for leading a high-performing... ...Professional Coder (CPC), Certified Coding Specialist (CCS), or comparable healthcare... ...Time This position is eligible for remote work from approved U.S. locations, subject...Remote workClaimsFull timeWork at officeMonday to FridayFlexible hoursShift work- Cedars-Sinai in Los Angeles is seeking a Physician Compliance Auditor to review claims, medical records, and charges for compliance with documentation, coding, and billing rules. You will educate... ...audit results via Teams or other remote meetings, and act as a subject...Remote workClaims
- Banner Health is seeking a Physician Coder Quality Associate to support remote operations nationwide. The role targets experienced ambulatory physician-based coding to audit, educate, and improve coding correctness before claims submission. This is a quality-focused position...Remote jobClaims
$59.09 per hour
...for a high-impact, fully remote opportunity with... ...expert and second-level reviewer! In this role, you will... ...escalate complex cases to Physician Advisors when necessary... ...liaison across CDI, Coding, and Quality teams, identifying... ...Scheduling Claims Processing Qualifications...Remote workClaimsHourly payPermanent employmentTemporary workWork experience placementWork at officeHome officeFlexible hoursShift workWeatherford, TX19 days ago- ...Billing Compliance Auditor & Physician Educator with a minimum of three... ...and facility billing claims. This position will primarily... ...in Tewksbury, MA, with some remote work flexibility. Key Responsibilities... ...accuracy, compliance with coding guidelines, and regulatory...Remote workClaims
Robert Half
Tewksbury, MA2 days ago - ...a Coder II to join our Health Information Management team. This role focuses on accurate coding of diagnoses and procedures (ICD-10-CM, CPT) to support data analytics and claims processing, with telecommute options from anywhere in the United States. Required AHIMA or...Remote jobClaims
- ...Job Summary ~ The Manager of Coding oversees the day-to-day... ...current with the workload. Reviews coding quality metrics and productivity... ...Receivable teams to work on claim denials and rejections... ...Experience supporting multi-specialty physician practices or medical groups (...Remote workClaims
ScionHealth
Brentwood, TN11 days ago - ...looking for a dedicated Coding Improvement Coordinator to join the Physician Billing team. Full-time... ...general office hours, working remotely. This position is... ...for the development of claim edits, warnings, and hard... ...level coding validation reviews. Provides training and information...Remote workClaimsPermanent employmentFull timeWork at officeMonday to FridayFlexible hoursDay shift
- ...the Mission and Guiding Behaviors; the Physician Coding Specialist II will assign the appropriate... ...for data retrieval, analysis and claims processing for the Mount Carmel Medical... ...interdisciplinary care delivery system. Reviews and evaluates patient medical records to...Remote jobClaimsFull timeWork experience placementWork at officeLocal areaShift work
- ...Job Summary The Remote Physician Pro Fee Coding Specialist- Denials (OBGYN) is responsible for reviewing, analyzing, and assigning accurate CPT, HCPCS, and ICD-10 codes for... ...provider education. Works coding-related claim edits, holds, and scrubs in the electronic...Remote workClaimsFull timeLocal area
- ...Neurosurgeon, Neurologist, and Physical Medicine & Rehabilitation physician to process utilization reviews. Work's Compensation experience is preferred but not... ...clinical expertise, and reviews workers' compensation claims by providing an interpretation of the medical...Remote workClaimsFor contractorsMonday to Friday
- ...be doing in this role: The Physician Compliance Auditor is responsible for reviewing and auditing claims, medical records, and charges... ...with applicable documentation, coding, and billing requirements.... ...through the use of Teams or other remote meeting platforms. The...Remote jobClaims
$204.76k - $292.52k
...need great people to join our team. The Physician Reviewer is the primary physician reviewer for Utilization Management (UM) cases in our organization. Other duties include... ...click HERE ( Current Contingent Worker please see job aid HERE to apply #LI-Remote...Remote workHourly payFull timeWork at officeLocal areaChenMed
Miami, FL4 days ago$230k
...Utilization Management Physician Reviewer We're building a world of health around every individual... ...: Oak Street Health Location: Fully Remote Hours: Full time, Monday - Friday, 8... ...services by applying utilization management (UM) criteria, clinical judgment, and...Remote workFull timeMonday to FridayOak St. Health
United States3 hours ago- Inland Empire Health Plan is seeking a Claims Review Nurse, LVN to perform timely medical reviews of facility and professional claims. You will identify improvements in the UM/Claims interface and support clinical determinations under supervision, helping IEHP meet quality...Remote jobClaims
- ...Remote Hialeah, FL Miami, FL Full time R... ...staff position, please review this tip sheet ( . The... ...key resource for CDI/Coding/Quality. The CDI Second... ...measuring and reporting physician and hospital outcomes.2... ...welcome.miami.edu/about-um to learn more about our...Remote workFull timeTemporary workWork at officeWorldwide
University of Miami
Miami Lakes, FL3 days ago
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Remote Physician ED Claims Reviewer (UM & Coding). Be the first to apply!
Related searches
- doctors office nurse Prosper, TX
- anesthesia physician Prosper, TX
- lpn doctors office Prosper, TX
- physician neurology Prosper, TX
- medical doctor Prosper, TX
- primary care sports medicine physician Prosper, TX
- physician Prosper, TX
- drug safety physician Prosper, TX
- preventive medicine physician Prosper, TX
- physician urgent care Prosper, TX